DR. Tae Ho Kang, D.M.D.

NPI #1255711693 in Mount Pleasant, Wisconsin

Provider Information

NPI Number: 1255711693
Entity Type: Individual
Name: DR. Tae Ho Kang, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Jun 1, 2015
Last Updated: Nov 23, 2016

Practice Location

Address: 5201 WASHINGTON AVE STE A
City: Mount Pleasant
State: Wisconsin
ZIP Code: 53406-4242
Phone: (888) 988-4066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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